VESTIBULAR DIAGNOSICS, LLC (NPI# 1760675425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760675425 |
| Entity Type | Organization |
| Organization Name | VESTIBULAR DIAGNOSICS, LLC |
| Practice Address |
4400 Rockside Rd Independence OH 44131-2109 |
| Mailing Address |
6001 Cochran Rd Suite 202 Solon OH 44139-3310 |
| Practice Telephone | 4404989723 |
| Practice Fax Number | 4404989725 |
| Mailing Telephone | 4404989723 |
| Mailing Fax Number | 4404989725 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | MR. FRANK LEE GARGANO (CEO) |
| Authorized Official Telephone | 4404989723 |
| Is Organization Subpart | Y |
| Parent Organization Name | VESTIBULAR DIAGNOSTICS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
4400 ROCKSIDE RD |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235122664 | Augusto Torres | Surgery | 4400 Rockside Rd, Suite 2200, Independence, OH 44131-2168 | 2005-08-31 |
| 1851709125 | Key Clinics LLC | Neurological Surgery | 4400 Rockside Rd, Suite 2200, Independence, OH 44131-2168 | 2014-07-30 |
| 1851540280 | Two Brothers Enterprises Inc | Internal Medicine | 4400 Rockside Rd, Suite 2100, Independence, OH 44131-2168 | 2008-09-10 |
| 1326265000 | Marymount Primary Care Services, Inc | Durable Medical Equipment & Medical Supplies | 4400 Rockside Rd, Suite 2100, Independence, OH 44131-2109 | 2007-04-20 |
| 1073602520 | Jack Rutkowski | Internal Medicine | 4400 Rockside Rd, Suite 2100, Independence, OH 44131-2109 | 2006-10-12 |
| 1447349972 | Robert J Rutkowski | Internal Medicine | 4400 Rockside Rd, Suite 2100, Independence, OH 44131-2109 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1619238151 | Life Line Screening of America | Clinical Medical Laboratory | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2012-05-31 |
| 1508257544 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 19550 E 39th St S, Suite 100, Independence, MO 64057-2303 | 2015-02-12 |
| 1285025445 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 19600 E 39th St S, Independence, MO 64057-2301 | 2015-02-10 |
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| 1942832084 | M1 Labs, LLC | Clinical Medical Laboratory | 1330 State Route 14, Columbiana, OH 44408 | 2020-02-06 |
| 1679123970 | Compunet Clinical Laboratories LLC | Clinical Medical Laboratory | 300 Austin West Blvd, Miamisburg, OH 45342-7519 | 2019-09-18 |
| 1780240788 | Access Hospital Dayton Lab LLC | Clinical Medical Laboratory | 2611 Wayne Ave Bldg 63, Dayton, OH 45420-1833 | 2019-05-15 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.